- Highmark Health (Pittsburgh, PA)
- …Foster peer review participation with staff an d participate in peer review with other assistant nurse managers.. + Conducts quarterly check-ins with ... specific patient care department under the direction of the Nurse Manager, providing clinical and administrative leadership and expertise....assigned staff to review developmental goals + Identifies one area for self-improvement… more
- AristaCare (Plymouth Meeting, PA)
- …facility's quality assurance program for the nursing service department. + Periodically review the resident's written discharge plan. Participate in the updating of ... Personnel Functions + Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality… more
- Highmark Health (Harrisburg, PA)
- …appeal activities to include but not limited to, clinical record review , composing comprehensive appeal letters and compiling minimum necessary documentation to ... and effective verbal and written communication skills. + Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure… more
- Highmark Health (Jefferson Hills, PA)
- …not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and limitations, transition ... degree + 3 years in a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact… more
- Highmark Health (Wexford, PA)
- …patient volumes and the revenue cycle process. + Provides primary (or secondary) review of reconciliation of monies being collected and deposited. + Responsible for ... lieu of bachelor's degree. + Current State of PA RN licensure OR Current multi-state licensure through the enhanced... licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) + Bachelors of Science in… more
- Highmark Health (Pittsburgh, PA)
- …operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits (COB), and ... degree + 3 years in a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact… more
- Fresenius Medical Center (Harrisburg, PA)
- …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state laws. + ... information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient...obtain vital signs + Collect patient's treatment records and review for completion. Notify RN of incomplete… more
- Fresenius Medical Center (Philadelphia, PA)
- …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state law. + ... information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient...obtain vital signs + Collect patient's treatment records and review for completion. Notify RN of incomplete… more
- Centene Corporation (Harrisburg, PA)
- …Health Professional (LMHP) required or + Board Certified Behavior Analyst (BCBA) required + RN - Registered Nurse - State Licensure and/or Compact State ... clinicians required. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required. Knowledge of...Licensure RN - Registered Nurse - State Licensure and/or Compact State… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... in a medicine specialty clinic, in collaboration, with the registered nurse medical support assistant and medical...to help deliver holistic care. Confers with LPN TL, RN Care Manager, PCP, or appropriate person to deliver… more